| Cold Intolerance Symptom Severity questionnaire (CISS). | Score | Normal population n = 93a | Traumatic hand injury n = 87b | HAVS n = 28 |
---|---|---|---|---|---|
 | Total CISS score (4-100) | 4-100 | 16 (4-62)2 | 45 (4-96)3 | 59 (23-94)3 |
1. | Not scored1 | - | - | - | - |
2. | How often do you experience these symptoms? | Â | 2 (2-10)2 | 8 (2-10) | 8 (2-10) |
 | -continuously/all the time | 10 |  |  |  |
 | -several times a day | 8 |  |  |  |
 | -once a day | 6 |  |  |  |
 | -once a week | 4 |  |  |  |
 | -once a month or less | 2 |  |  |  |
3. | When you develop cold-induced symptoms, on your return to a warm environment are the symptoms relieved | Â | 2 (2-10)2 | 6 (2-10)3 | 6 (2-10)3 |
 | -within a few minutes | 2 |  |  |  |
 | -within 30 minutes | 6 |  |  |  |
 | -after more than 30 minutes | 10 |  |  |  |
4. | What do you do to ease or prevent your symptoms occurring? (please tick) | Â | 4 (0-10)2 | 4 (0-10)3 | 4 (0-10)3 |
 | -take no special action | 0 |  |  |  |
 | -keep hand in pocket | 2 |  |  |  |
 | -wear gloves in cold weather | 4 |  |  |  |
 | -wear gloves all the time | 6 |  |  |  |
 | -avoid cold weather/stay indoors | 8 |  |  |  |
 | -other | 10 |  |  |  |
5. | How much does cold bother your injured hand in the following situations? Please score (0-10) | Â | Â | Â | Â |
 | - holding a glass of ice water | 0-10 | 0 (0-8)2 | 3 (0-10) | 5 (0-10) |
 | - holding a frozen package from the freezer | 0-10 | 1 (0-9)2 | 5 (0-10)3 | 7 (0-10)3 |
 | - washing in cold water | 0-10 | 0 (0-10)2 | 4 (0-10)3 | 7 (0-10)3 |
 | - when you get out of a hot bath/shower with the air at room temperature | 0-10 | 0 (0-6)2 | 0 (0-8)3 | 3 (0-10)3 |
 | - during cold wintry weather | 0-10 | 2 (0-10)2 | 8 (0-10)3 | 8 (4-10)3 |
6. | Please state how each of the following activities have been affected as a consequence of cold-induced symptoms in your injured hand and score each (0-4). | Â | Â | Â | Â |
 | - domestic chores | 0-4 | 0 (0-3)2 | 1 (0-4)3 | 2 (0-3)3 |
 | - hobbies and interests | 0-4 | 0 (0-4)2 | 2 (0-4)3 | 3 (0-4)3 |
 | - dressing and undressing | 0-4 | 0 (0-2)2 | 0 (0-4) | 1 (0-4) |
 | - tying your shoe laces | 0-4 | 0 (0-3)2 | 1 (0-4) | 2 (0-4) |
 | - your job | 0-4 | 0 (0-4)2 | 2 (0-4)3 | 3 (0-4)3 |